Tip: Using CareMark data
Number | 0146 |
|---|---|
Submitting Entity (SE) | 99CAR1 |
Add Date | Jan 17, 2024 |
Update Date |
|
Update | Included in January 2024 data tips email |
Description | Though Caremark is considered a pharmacy benefits manager, it is possible that in some instances it can participate like a fully insured plan not as a PBM. At this time, there is no indicator in the claims or member data to make this distinction.
https://achiapcd.atlassian.net/wiki/spaces/ADRS/pages/3167027315 |
Active/Resolved | Active |
Action / Resolution |
|
Category 1 | PBM |
Category 2 | Pharmacy |
Tip / Issue | Tip |